DrugindexOnline^{2nd edition}

Generic Name: Sennosides Chewable Tablets (SEN-oh-sides)
Brand Name: Examples include Evac-u-gen and Ex-Lax

Evac-u-gen Chewable Tablets is used for:

Treating constipation.

Evac-u-gen Chewable Tablets is a stimulant laxative. It works by irritating bowel tissues, resulting in bowel movements.

Do NOT use Evac-u-gen Chewable Tablets if:

• you are allergic to any ingredient in Evac-u-gen Chewable Tablets
• you have had recent abdominal surgery or require immediate abdominal surgery
• you have appendicitis; bleeding of the stomach, intestine, or rectum; or an obstruction in your intestines (fecal impaction)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Evac-u-gen Chewable Tablets:

Some medical conditions may interact with Evac-u-gen Chewable Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have congestive heart failure, you are experiencing nausea or vomiting, or you have undiagnosed stomach pain

Some MEDICINES MAY INTERACT with Evac-u-gen Chewable Tablets. However, no specific interactions with Evac-u-gen Chewable Tablets are known at this time.

Ask your health care provider if Evac-u-gen Chewable Tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Evac-u-gen Chewable Tablets:

Use Evac-u-gen Chewable Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Evac-u-gen Chewable Tablets by mouth with or without food.
• Take Evac-u-gen Chewable Tablets with a full glass of water (8 oz/240 mL). Drinking extra fluids while you are taking Evac-u-gen Chewable Tablets is recommended. Check with your doctor for instructions.
• Chew tablet or allow to dissolve in your mouth.
• It is best to take Evac-u-gen Chewable Tablets at bedtime.
• If you miss a dose of Evac-u-gen Chewable Tablets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Evac-u-gen Chewable Tablets.

Important safety information:

• A bowel movement usually occurs in 6 to 12 hours.
• Do not use for longer than 1 week without checking with your doctor.
• Using Evac-u-gen Chewable Tablets for a long time may result in loss of normal bowel function.
• Do not take additional laxatives or stool softeners with Evac-u-gen Chewable Tablets unless directed by your doctor.
• If you notice a sudden change in bowel habits that lasts for 2 weeks or more, stop using Evac-u-gen Chewable Tablets and check with your doctor.
• Evac-u-gen Chewable Tablets may discolor the urine pink to red, or yellow to brown.
• Evac-u-gen Chewable Tablets should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Evac-u-gen Chewable Tablets while you are pregnant. It is not known if Evac-u-gen Chewable Tablets is found in breast milk. If you are or will be breast-feeding while you use Evac-u-gen Chewable Tablets, check with your doctor. Discuss any possible risks to your baby.

Overuse of laxatives can lead to a DEPENDENCE on laxatives to have a bowel movement. In severe overuse cases, some laxatives have caused damage to the intestines and bowel.

Possible side effects of Evac-u-gen Chewable Tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abdominal discomfort or cramping; diarrhea; nausea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); kidney inflammation; poor bowel function; rectal bleeding.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Proper storage of Evac-u-gen Chewable Tablets:

Store Evac-u-gen Chewable Tablets at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Keep Evac-u-gen Chewable Tablets out of the reach of children and away from pets.

General information:

• If you have any questions about Evac-u-gen Chewable Tablets, please talk with your doctor, pharmacist, or other health care provider.
• Evac-u-gen Chewable Tablets is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Evac-u-gen Chewable Tablets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.